﻿<%@ Page Language="C#" MasterPageFile="~/MasterPage.master" AutoEventWireup="true"
    CodeFile="OASYS.aspx.cs" Inherits="OASYS" Title="Secretary of the Commonwealth-OASYS" %>

<asp:Content ID="Content1" ContentPlaceHolderID="head" runat="Server">

    <script src="Scripts/OASYS.js" type="text/javascript" language="javascript" defer="defer"></script>
    <script src="Scripts/Common.js" type="text/javascript" language="javascript"></script>
    <link href="StyleSheet.css" rel="stylesheet" type="text/css" />


</asp:Content>
<asp:Content ID="Content2" ContentPlaceHolderID="ContentPlaceHolder1" runat="Server">
    <div class="Form">
    <div id="BrowserWarning" class="ErrorMsg" >Warning: this form only supports Internet Explorer and Firefox.</div>
        <table width="780px">
            <tr>
                <td colspan="2">
                    <asp:ValidationSummary ID="valSummary" runat="server" DisplayMode="BulletList" 
                        HeaderText="Please correct the following errors and press Submit again." 
                        CssClass="ErrorMsg" ForeColor="" />
                    <asp:Label ID="lblError" runat="server"></asp:Label>
                </td>
            </tr>
            <tr>
                <td colspan="2">
                    <h3>
                        Desired Appointment(s)</h3>
                        <div class="Form Denote">
                </td>
            </tr>
            <tr>
                <td colspan="2">
                    Appointment(s) for which you would like to be considered. Use the Add button to 
                    select a board/commission. You may select up to three. To find out more about 
                    the requirements for a specific board or commission in which you are interested, 
                    please click on this link to search the Virginia Code: <a href="http://leg1.state.va.us/000/src.htm">
                    http://leg1.state.va.us/000/src.htm</a>.
                </td>
            </tr>
            <tr>
                <td>&nbsp;</td>
            </tr>
            <tr>
                <td colspan="2">
                    <table>
                        <tr>
                            <td>Secretariats</td>
                            <td></td>
                            
                        </tr>
                        <tr>
                            <td colspan="2" valign="top">
                                <table width="100%">
                                    <tr>
                                        <td><select id="lstSecretariats" name="lstSecretariats" onchange="ShowBoards(); CheckButtonEnable();" 
                                    style="width:140px;font-size:10px" size="10"></select></td>
                                        <td align="right"><img alt="Instruction image" src="images/AppInstructions.gif" /></td>
                                    </tr>
                                </table>
                                
                                </td>
                            
                        </tr>
                        <tr><td>Boards And Commissions</td><td></td>
                                            </tr>
                        <tr>
                            <td><select id="lstBoards" name="lstBoards" style="width:600px;font-size:10px" size="10" 
                                    onchange="BoardsChange();"></select></td>
                            <td valign="top"><button id="btnAddBoard" name="btnAddBoard" 
                                    onclick="btnAddBoard_Click(); return false"
                                    style="margin: 0px 10px 0px 10px;font-size:10px; width: 70px">
                                    Add&nbsp;&gt;</button><br /><br />
                                </td>
                                            </tr>
                        <tr><td class="Required">&nbsp;&nbsp; Selected Boards and Commissions <em style="color:Red">(maximum of 3)</em></td><td></td>
                                            </tr>  
                        <tr><td><select id="lstSelectedBoards" name="lstSelectedBoards" size="3" style="width:600px;font-size:10px" 
                                    multiple="multiple" onchange="SelectedBoardsChanged();"></select><br />
                                <asp:CustomValidator ID="vldBoards" runat="server"
                                    ClientValidationFunction="BoardSelected" 
                                    ErrorMessage="You must select one or more board" 
                                    onservervalidate="vldBoards_ServerValidate" /></td>
                                    <td><button id="btnRemoveBoard" onclick="btnRemoveBoard_Click(); return false"
                                    style="margin: 0px 10px 0px 10px; font-size: 10px; width: 70px">
                                    &lt;&nbsp;Remove</button></td>
                                            </tr>                                  
                    </table>
                </td>
            </tr>
            <tr>
                <td colspan="2">
                    <h3 class="Required">
                        Upload Resume in either Microsoft Word or Adobe Acrobat PDF format</h3>
                </td>
            </tr>
            <tr>
                <td colspan="2">
                     <asp:FileUpload ID="ResumeUploader" runat="server" />
                     <asp:RequiredFieldValidator Enabled="true" ID="rfvResume" runat="server" ControlToValidate="ResumeUploader"
                         ErrorMessage="Resume is required" />
                     <asp:CustomValidator 
                        ID="vldResume" runat="server" 
                        ControlToValidate="ResumeUploader" 
                        ErrorMessage="Only Word (.doc/.docx) or PDF formats are accepted" 
                        onservervalidate="vldResume_ServerValidate"/>
                </td>
            </tr>
            <tr>
                <td colspan="2">
                    <hr />
                </td>
            </tr>
            <tr>
                <td colspan="2">
                    <h3>
                        Applicant Profile</h3>
                </td>
            </tr>
            <tr>
                <td colspan="2">
                    <table>
                        <tr>
                            <td align="left">
                                Title
                            </td>
                            <td align="left" class="Required">
                                &nbsp;&nbsp; First Name
                            </td>
                            <td align="left">
                                Middle
                            </td>
                            <td align="left" class="Required">
                                &nbsp;&nbsp; Last Name
                            </td>
                            <td align="left">
                                Suffix
                            </td>
                        </tr>
                        <tr>
                            <td valign="top">
                                <asp:TextBox ID="txtTitle" runat="server" Width="50"></asp:TextBox>
                            </td>
                            <td valign="top">
                                <asp:TextBox ID="txtFirstName" runat="server" Width="120"></asp:TextBox><br />
                                <asp:RequiredFieldValidator ID="reqFirstName" runat="server" ControlToValidate="txtFirstName" Display="Dynamic" 
                                    ErrorMessage="First Name is required" CssClass="ErrorMsg" ForeColor=""></asp:RequiredFieldValidator>
                            </td>
                            <td valign="top">
                                <asp:TextBox ID="txtMiddleName" runat="server" Width="60"></asp:TextBox>
                            </td>
                            <td valign="top">
                                <asp:TextBox ID="txtLastName" runat="server" Width="120"></asp:TextBox><br />
                                <asp:RequiredFieldValidator ID="reqLastName" runat="server" ControlToValidate="txtLastName" Display="Dynamic"
                                    ErrorMessage="Last Name is required" CssClass="ErrorMsg" ForeColor=""></asp:RequiredFieldValidator>
                            </td>
                            <td valign="top">
                                <asp:TextBox ID="txtSuffix" runat="server" Width="50"></asp:TextBox>
                            </td>
                        </tr>
                    </table>
                </td>
            </tr>
            <tr>
                <td colspan="2">
                    Have you ever used, or have you ever been known by, any other name?&nbsp;&nbsp;If yes, 
                    provide name(s) and explain:<br />
                    <asp:TextBox ID="txtOtherNames" runat="server" Wrap="true" Width="720" Height="48"
                        TextMode="MultiLine"></asp:TextBox><br />
                    <br />
                </td>
            </tr>
            <tr>
                <td width="200" class="Required">
                    &nbsp;&nbsp;Email
                </td>
                <td>
                    <asp:TextBox ID="txtEmail" runat="server" Width="200" MaxLength="100"></asp:TextBox>
                    <asp:RequiredFieldValidator ID="rfvEmail" runat="server" ControlToValidate="txtEmail"
                        Display="Dynamic" ErrorMessage="Email is required"></asp:RequiredFieldValidator>
                    <asp:RegularExpressionValidator ID="valEmailAddress"
                        ControlToValidate="txtEmail"	ValidationExpression=".*@.*\..*" ErrorMessage="Email address is invalid." 
                        EnableClientScript="true" Runat="server" />
                </td>
            </tr>
            <tr>
                <td class="Required">
                    &nbsp;&nbsp;Home Phone
                </td>
                <td>
                    <asp:TextBox ID="txtHomePhone" runat="server" Width="104"></asp:TextBox>&nbsp;&nbsp;Ext.&nbsp;
                    <asp:RequiredFieldValidator ID="rfvHomePhone" runat="server" ControlToValidate="txtHomePhone" ErrorMessage="Home Phone is required." />
                </td>
            </tr>
            <tr>
                <td>
                    &nbsp;&nbsp;Cell Phone
                </td>
                <td>
                    <asp:TextBox ID="txtCellPhone" runat="server" Width="104"></asp:TextBox>
                </td>
            </tr>
            <tr>
                <td>
                    &nbsp;&nbsp;Work Phone
                </td>
                <td>
                    <asp:TextBox ID="txtWorkPhone" runat="server" Width="104"></asp:TextBox>
                </td>
            </tr>
            <tr><td colspan="2"><H3>Home Address</H3></td></tr>
            <tr>
                <td class="Required">
                    &nbsp;&nbsp;Address Line 1
                </td>
                <td>
                    <asp:TextBox ID="txtAddress1" runat="server" Width="200"></asp:TextBox>
                    <asp:RequiredFieldValidator ID="rfvAddress1" runat="server" ControlToValidate="txtAddress1" ErrorMessage="Address Line 1 is required." />
                </td>
            </tr>
            <tr>
                <td>
                    &nbsp;&nbsp;Address Line 2
                </td>
                <td>
                    <asp:TextBox ID="txtAddress2" runat="server" Width="200"></asp:TextBox>
                </td>
            </tr>
            <tr>
                <td class="Required">
                    &nbsp;&nbsp;City
                </td>
                <td valign="top">
                    <asp:TextBox ID="txtCity" runat="server" Width="102"></asp:TextBox>
                    <asp:RequiredFieldValidator ID="rfvCity" runat="server" ControlToValidate="txtCity" ErrorMessage="City is required." />
                </td>
            </tr>
            <tr>
                <td class="Required">
                    &nbsp;&nbsp;State
                </td>
                <td>
                    <asp:DropDownList ID="ddlState" runat="server"></asp:DropDownList>
                    <asp:RequiredFieldValidator ID="rfvState" runat="server" ControlToValidate="ddlState" ErrorMessage="State is required." />
                </td>
            </tr>
            <tr>
                <td class="Required">
                    &nbsp;&nbsp;Zip Code
                </td>
                <td>
                    <asp:TextBox ID="txtZip" runat="server" Width="40"></asp:TextBox>
                    <asp:RequiredFieldValidator ID="rfvZip" runat="server" ControlToValidate="txtZip" ErrorMessage="Zip Code is required." />
                </td>
            </tr>
            <tr><td colspan="2"><H3>Business Address</H3></td></tr>
            <tr>
                <td>
                    &nbsp;&nbsp;Address Line 1
                </td>
                <td>
                    <asp:TextBox ID="txtBizAddress1" runat="server" Width="200"></asp:TextBox>
                </td>
            </tr>
            <tr>
                <td>
                    &nbsp;&nbsp;Address Line 2
                </td>
                <td>
                    <asp:TextBox ID="txtBizAddress2" runat="server" Width="200"></asp:TextBox>
                </td>
            </tr>
            <tr>
                <td>
                    &nbsp;&nbsp;City
                </td>
                <td valign="top">
                    <asp:TextBox ID="txtBizCity" runat="server" Width="102"></asp:TextBox>
                </td>
            </tr>
            <tr>
                <td>
                    &nbsp;&nbsp;State
                </td>
                <td>
                    <asp:DropDownList ID="ddlBizState" runat="server"></asp:DropDownList>
                </td>
            </tr>
            <tr>
                <td>
                    &nbsp;&nbsp;Zip Code
                </td>
                <td>
                    <asp:TextBox ID="txtBizZipCode" runat="server" Width="40"></asp:TextBox>
                </td>
            </tr>
            <tr>
                <td colspan="2">
                    <hr />
                </td>
            </tr>
            <tr>
                <td colspan="2">
                    <h3>
  Background Highlights</h3>
                </td>
            </tr>
            <tr>
                <td colspan="2">
                    <span style="font-weight: bold">Education:</span> <em>(2,000 characters max)</em>
                </td>
            </tr>
            <tr>
                <td colspan="2">
                    <asp:TextBox ID="txtEducation" runat="server" Wrap="true" Width="720" Height="64" MaxLength="2000"
                        TextMode="MultiLine"></asp:TextBox>
                </td>
            </tr>
            <tr>
                <td colspan="2">
                    <span style="font-weight: bold">Employment Experience:</span> <em>(2,000 characters max)</em></td>
            </tr>
            <tr>
                <td colspan="2">
                    <asp:TextBox ID="txtEmployment" runat="server" Wrap="true" Width="720" Height="64" MaxLength="2000"
                        TextMode="MultiLine"></asp:TextBox>
                </td>
            </tr>
            <tr>
                <td colspan="2">
                    <span style="font-weight: bold">Professional Licenses:</span> <em>(2,000 characters max)</em></td>
            </tr>
            <tr>
                <td colspan="2">
                    <asp:TextBox ID="txtLicenses" runat="server" Wrap="true" Width="720" Height="64" MaxLength="2000"
                        TextMode="MultiLine"></asp:TextBox>
                </td>
            </tr>
            <tr>
                <td colspan="2">
                    <span style="font-weight: bold">Previous Appointments:</span> <em>(2,000 characters max)</em></td>
            </tr>
            <tr>
                <td colspan="2">
                    <asp:TextBox ID="txtAppointments" runat="server" Wrap="true" Width="720" Height="64" MaxLength="2000"
                        TextMode="MultiLine"></asp:TextBox>
                </td>
            </tr>
            <tr>
                <td colspan="2">
                    <span style="font-weight: bold">Honors: </span>Please list all scholarships, 
                    fellowships, honorary degrees, honorary society memberships, and other special 
                    recognitions for outstanding service or achievements:
                </td>
            </tr>
            <tr>
                <td colspan="2">
                    <asp:TextBox ID="txtHonors" runat="server" Wrap="true" Width="720" Height="64" TextMode="MultiLine"></asp:TextBox>
                </td>
            </tr>
            <tr>
                <td colspan="2">
                    <span style="font-weight: bold">References: </span>Please list the name, 
                    telephone number and e-mail address of three (3) persons who are 
                    willing to serve as references:
                </td>
            </tr>
            <tr>
                <td colspan="2"><asp:TextBox ID="txtReferences" runat="server" Wrap="true" Width="720" Height="268"
                        TextMode="MultiLine"></asp:TextBox>
                </td>
            </tr>
            <tr>
                <td colspan="2">
                    <hr />
                </td>
            </tr>
            <tr>
                <td colspan="2">
                    <h3>
                        Military Service      Military Service</h3>
                </td>
            </tr>
            <tr>
                <td colspan="2">
                    List rank, date and type of discharge from active service:
                </td>
            </tr>
            <tr>
                <td colspan="2">
                    <asp:TextBox ID="txtMilitaryService" runat="server" Wrap="true" Width="720" Height="64"
                        TextMode="MultiLine"></asp:TextBox>
                </td>
            </tr>
            <tr>
                <td colspan="2">
                    <span style="font-weight: bold">Discharge: </span>Were you discharged from 
                    military service under anything less than honorable conditions?
                </td>
            </tr>
            <tr>
                <td valign="top">
                    <asp:RadioButton ID="radDishonorableDischargeYes" runat="server" Text="Yes" GroupName="DishonoraleDischarge" />
                    <asp:RadioButton ID="radDishonorableDischargeNo" runat="server" Text="No" GroupName="DishonoraleDischarge" />
                </td>
                <td>
                    If yes, please explain:<br />
                    <asp:TextBox ID="txtDischargeExplanation" runat="server" Wrap="true" Width="620"
                        Height="48" TextMode="MultiLine"></asp:TextBox>
                </td>
            </tr>
            <tr>
                <td colspan="2">
                    Are you a member of the Reserves or the National Guard?
                </td>
            </tr>
            <tr>
                <td>
                    <asp:RadioButton ID="radReservesYes" runat="server" Text="Yes" GroupName="Reserves" />
                    <asp:RadioButton ID="radReservesNo" runat="server" Text="No" GroupName="Reserves" />
                </td>
                <td>
                    If yes, date obligation ends:
                    <asp:TextBox ID="txtReservesEndDate" runat="server" Width="90"></asp:TextBox>
                    <asp:CompareValidator id="valReservesEndDate" runat="server" 
                        Type="Date" Operator="DataTypeCheck" ControlToValidate="txtReservesEndDate" 
                        ErrorMessage="Please enter a valid obligation end date." CssClass="ErrorMsg" 
                        ForeColor=""></asp:CompareValidator>
                </td>
            </tr>
            <tr>
                <td colspan="2">
                    <hr />
                </td>
            </tr>
            <tr>
                <td colspan="2">
                    <h3>Vetting &nbsp;<em style="font-weight:normal">(all questions are required to be answered)</em></h3> 
                        <div style="margin-left:50px;"><span style="margin-left:-15px;"><asp:CustomValidator ID="vldVetting" runat="server" Display="Dynamic" onservervalidate="vldVetting_ServerValidate" /></span></div>
                        
                </td>
            </tr>
            <tr>
                <td colspan="2" class="RequiredTop" style="padding-left:8px">
                    <span style="font-weight: bold">Business / Lobbying: </span>Describe any 
                    business relationship, dealing or financial transaction which you have had 
                    during the last five years, whether for yourself, on behalf of a client, or 
                    acting as an agent which you believe may constitute an appearance of impropriety 
                    or could result in in a potential conflict of interest in the position to which you 
                    want to be appointed.&nbsp;&nbsp;If none, please state. 
                </td>
            </tr>
            <tr>
                <td valign="top">
                </td>
                <td><asp:RequiredFieldValidator ID="vldBizLobby" runat="server" ControlToValidate="txtBusinessLobbying" ErrorMessage="Business / Lobbying answer is required" Display="Dynamic" />
                    <asp:TextBox ID="txtBusinessLobbying" runat="server" Wrap="true" Width="620" Height="48"
                        TextMode="MultiLine"></asp:TextBox>
                </td>
            </tr>
            <tr>
                <td colspan="2" class="RequiredTop" style="padding-left:8px">
                    Are you or have you at any 
                    time, been a registered lobbyist?
                </td>
                
            </tr>
            <tr>
                <td valign="top">                    
                    <asp:RadioButton ID="radBusinessLobbyingYes" runat="server" Text="Yes" GroupName="BusinessLobbying" />
                    <asp:RadioButton ID="radBusinessLobbyingNo" runat="server" Text="No" GroupName="BusinessLobbying" />
                </td>
                <td>
                    If yes, please provide the name of the organization(s) for which you lobbied:<br />
                    <asp:TextBox ID="txtLobbyingFirm" runat="server" Wrap="true" Width="620" Height="48"
                        TextMode="MultiLine"></asp:TextBox>
                </td>
            </tr>
            <tr>
                <td colspan="2" class="RequiredTop" style="padding-left:8px">
                    <span style="font-weight: bold">Citations: </span>Have you ever been cited for a 
                    breach of ethics for unprofessional conduct, or been named in a complaint to any 
                    court, administrative agency, regulatory body, professional association, 
                    disciplinary committee, or other professional group?
                </td>
            </tr>
            <tr>
                <td valign="top">
                    <asp:RadioButton ID="radCitationsYes" runat="server" Text="Yes" GroupName="Citations" />
                    <asp:RadioButton ID="radCitationsNo" runat="server" Text="No" GroupName="Citations" />
                </td>
                <td>
                    If yes, please provide a detailed explanation:<br />
                    <asp:TextBox ID="txtCitations" runat="server" Wrap="true" Width="620" Height="48"
                        TextMode="MultiLine"></asp:TextBox>
                </td>
            </tr>
            <tr>
                <td colspan="2" class="RequiredTop" style="padding-left:8px">
                    <span style="font-weight: bold">Convictions: </span>Have you ever been convicted 
                    of or entered a plea of guilty or nolo contendere or forfeited collateral for 
                    any criminal violation other than a minor traffic offense? (Minor traffic 
                    offenses do not include the Virginia offenses of operating under the influence 
                    of liquor, operating while impaired, reckless driving or the equivalent offenses 
                    in other states)
                </td>
            </tr>
            <tr>
                <td valign="top">
                    <asp:RadioButton ID="radConvictionsYes" runat="server" Text="Yes" GroupName="Convictions" />
                    <asp:RadioButton ID="radConvictionsNo" runat="server" Text="No" GroupName="Convictions" />
                </td>
                <td>
                    If yes, please provide a detailed explanation:<br />
                    <asp:TextBox ID="txtConvictions" runat="server" Wrap="true" Width="620" Height="48"
                        TextMode="MultiLine"></asp:TextBox>
                </td>
            </tr>
            <tr>
                <td colspan="2" class="RequiredTop" style="padding-left:8px">
                    <span style="font-weight: bold">Current Charges: </span>Are you now under 
                    charges for any violation of law?
                </td>
            </tr>
            <tr>
                <td valign="top">
                    <asp:RadioButton ID="radChargesYes" runat="server" Text="Yes" GroupName="Charges" />
                    <asp:RadioButton ID="radChargesNo" runat="server" Text="No" GroupName="Charges" />
                </td>
                <td>
                    If yes, please provide a detailed explanation:<br />
                    <asp:TextBox ID="txtCharges" runat="server" Wrap="true" Width="620" Height="48" TextMode="MultiLine"></asp:TextBox>
                </td>
            </tr>
            <tr>
                <td colspan="2" class="RequiredTop" style="padding-left:8px">
                    <span style="font-weight: bold">Opposition / Associations: </span>Do you have 
                    any expectations of any group or individual voicing concern about your possible 
                    appointment?
                </td>
            </tr>
            <tr>
                <td valign="top">
                    <asp:RadioButton ID="radOppositionYes" runat="server" Text="Yes" GroupName="Opposition" />
                    <asp:RadioButton ID="radOppositionNo" runat="server" Text="No" GroupName="Opposition" />
                </td>
                <td>
                    If yes, please provide a detailed explanation:<br />
                    <asp:TextBox ID="txtOpposition" runat="server" Wrap="true" Width="620" Height="48"
                        TextMode="MultiLine"></asp:TextBox>
                </td>
            </tr>
            <tr>
                <td colspan="2" class="RequiredTop" style="padding-left:8px">
                    <span style="font-weight: bold">Delinquencies: </span>Are you delinquent on any 
                    federal, state, or local debt? (Include delinquencies for income, property,or 
                    other taxes, governmental loans, overpayment of benefits, required payments into 
                    or under governmental programs, and other debts or required payments to the 
                    goverment plus any defaults on or under loans which are or where guaranteed, 
                    insured, or subsidized by any unit of government.)
                </td>
            </tr>
            <tr>
                <td valign="top">
                    <asp:RadioButton ID="radDelinquenciesYes" runat="server" Text="Yes" GroupName="Delinquencies" />
                    <asp:RadioButton ID="radDelinquenciesNo" runat="server" Text="No" GroupName="Delinquencies" />
                </td>
                <td>
                    If yes, please provide a detailed explanation:<br />
                    <asp:TextBox ID="txtDelinquencies" runat="server" Wrap="true" Width="620" Height="48"
                        TextMode="MultiLine"></asp:TextBox>
                </td>
            </tr>
            <tr>
                <td colspan="2" class="RequiredTop" style="padding-left:8px">
                    <span style="font-weight: bold">Issues: </span>In the last five years, have you 
                    been publicly identified, in person or by organizational membership, with a 
                    particularly controversial national, state or local issue?
                </td>
            </tr>
            <tr>
                <td valign="top">
                    <asp:RadioButton ID="radIssuesYes" runat="server" Text="Yes" GroupName="Issues" />
                    <asp:RadioButton ID="radIssuesNo" runat="server" Text="No" GroupName="Issues" />
                </td>
                <td>
                    If yes, please provide a detailed explanation:<br />
                    <asp:TextBox ID="txtIssues" runat="server" Wrap="true" Width="620" Height="48" TextMode="MultiLine"></asp:TextBox>
                </td>
            </tr>
            <tr>
                <td colspan="2" class="RequiredTop" style="padding-left:8px">
                    <span style="font-weight: bold">Submission of Views: </span>In the last five 
                    years, have you submitted oral or written views to any governmental authority, 
                    whether executive or legislative, or to the news media on any particularly 
                    controversial issue orther than in an official governmental capacity?
                </td>
            </tr>
            <tr>
                <td valign="top">
                    <asp:RadioButton ID="radViewsYes" runat="server" Text="Yes" GroupName="Views" />
                    <asp:RadioButton ID="radViewsNo" runat="server" Text="No" GroupName="Views" />
                </td>
                <td>
                    If yes, please provide a detailed explanation:<br />
                    <asp:TextBox ID="txtViews" runat="server" Wrap="true" Width="620" Height="48" TextMode="MultiLine"></asp:TextBox>
                </td>
            </tr>
            <tr>
                <td colspan="2" class="RequiredTop" style="padding-left:8px">
                    <span style="font-weight: bold">Agency Proceedings / Civil Litigation: </span>In 
                    the last five years, have you been, or are you presently a party of interest in 
                    any administrative agency proceeding or civil litigation, including any action 
                    regarding a professional license?
                </td>
            </tr>
            <tr>
                <td valign="top">
                    <asp:RadioButton ID="radProceedingsYes" runat="server" Text="Yes" GroupName="Proceedings" />
                    <asp:RadioButton ID="radProceedingsNo" runat="server" Text="No" GroupName="Proceedings" />
                </td>
                <td>
                    If yes, please provide a detailed explanation:<br />
                    <asp:TextBox ID="txtProceedings" runat="server" Wrap="true" Width="620" Height="48"
                        TextMode="MultiLine"></asp:TextBox>
                </td>
            </tr>
            <tr>
                <td colspan="2" class="RequiredTop" style="padding-left:8px">
                    <span style="font-weight: bold">Civil Litigation of Affiliates and Family: </span>
                    In the last five years, has any business in which you, your spouse or partner, 
                    any member of your household or other close family members or business associate 
                    are or were any officer, director or partner been a party to any administrative 
                    agency proceeding or civil litigation relevant to the position to which you have 
                    been appointed? (With respect to this question, you need only consider 
                    proceedings and litigation that occurred while you, your spouse, close family 
                    member or business associate were an officer of that business.)
                </td>
            </tr>
            <tr>
                <td valign="top">
                    <asp:RadioButton ID="radCivilLitigationYes" runat="server" Text="Yes" GroupName="CivilLitigation" />
                    <asp:RadioButton ID="radCivilLitigationNo" runat="server" Text="No" GroupName="CivilLitigation" />
                </td>
                <td>
                    If yes, please provide a detailed explanation:<br />
                    <asp:TextBox ID="txtCivilLitigation" runat="server" Wrap="true" Width="620" Height="48"
                        TextMode="MultiLine"></asp:TextBox>
                </td>
            </tr>
            <tr>
                <td colspan="2" class="RequiredTop" style="padding-left:8px">
                    <span style="font-weight: bold">Legal Proceedings: </span>Have you ever been a 
                    party or otherwise involved in any legal proceedings - civil or criminal? 
                    Include all legal proceedings in which you were a party of interest, a material 
                    witness, the subject of a complaint, were named as a co- conspirator or 
                    co-respondent, and any grand jury investigation in which you figured as a 
                    subject, or in which you appeared as a witness. Do not list proceedings in which 
                    you were merely a nominal party where no allegations of wrongdoing were alleged 
                    against you.
                </td>
            </tr>
            <tr>
                <td valign="top">
                    <asp:RadioButton ID="radLegalProceedingsYes" runat="server" Text="Yes" GroupName="LegalProceedings" />
                    <asp:RadioButton ID="radLegalProceedingsNo" runat="server" Text="No" GroupName="LegalProceedings" />
                </td>
                <td>
                    If yes, please provide a detailed explanation:<br />
                    <asp:TextBox ID="txtLegalProceedings" runat="server" Wrap="true" Width="620" Height="48"
                        TextMode="MultiLine"></asp:TextBox>
                </td>
            </tr>
            <tr>
                <td colspan="2" class="RequiredTop" style="padding-left:8px">
                    <span style="font-weight: bold">Charges / Associates: </span>Has a criminal 
                    charge been brought against any firm or organization during your affiliation 
                    with it?
                </td>
            </tr>
            <tr>
                <td valign="top">
                    <asp:RadioButton ID="radChargesAssociatesYes" runat="server" Text="Yes" GroupName="ChargesAssociates" />
                    <asp:RadioButton ID="radChargesAssociatesNo" runat="server" Text="No" GroupName="ChargesAssociates" />
                </td>
                <td>
                    If yes, please provide a detailed explanation:<br />
                    <asp:TextBox ID="txtChargesAssociates" runat="server" Wrap="true" Width="620" Height="48"
                        TextMode="MultiLine"></asp:TextBox>
                </td>
            </tr>
            <tr>
                <td colspan="2" class="RequiredTop" style="padding-left:8px">
                    <span style="font-weight: bold">Discrimination: </span>Has a complaint of 
                    discrimination on the basis of sex, race, religion, national origin, age or 
                    handicap ever been filed against you, or against any firm or organization during 
                    your affiliation with it?
                </td>
            </tr>
            <tr>
                <td valign="top">
                    <asp:RadioButton ID="radDiscriminationYes" runat="server" Text="Yes" GroupName="Discrimination" />
                    <asp:RadioButton ID="radDiscriminationNo" runat="server" Text="No" GroupName="Discrimination" />
                </td>
                <td>
                    If yes, please provide a detailed explanation:<br />
                    <asp:TextBox ID="txtDiscrimination" runat="server" Wrap="true" Width="620" Height="48"
                        TextMode="MultiLine"></asp:TextBox>
                </td>
            </tr>
            <tr>
                <td colspan="2" class="RequiredTop" style="padding-left:8px">
                    <span style="font-weight: bold">Credit History: </span>Have you ever experienced 
                    credit difficulties? Have you ever filed for bankruptcy, or encountered other 
                    severe financial difficulties?
                </td>
            </tr>
            <tr>
                <td valign="top">
                    <asp:RadioButton ID="radCreditHistoryYes" runat="server" Text="Yes" GroupName="CreditHistory" />
                    <asp:RadioButton ID="radCreditHistoryNo" runat="server" Text="No" GroupName="CreditHistory" />
                </td>
                <td>
                    If yes, please provide a detailed explanation:<br />
                    <asp:TextBox ID="txtCreditHistory" runat="server" Wrap="true" Width="620" Height="48"
                        TextMode="MultiLine"></asp:TextBox>
                </td>
            </tr>
            <tr>
                <td colspan="2" class="RequiredTop" style="padding-left:8px">
                    <span style="font-weight: bold">Controversy: </span>Is there anyting in your 
                    personal or professional life that would cause controversy for you or the 
                    governor during a public review of your candidacy or your service as a 
                    gubernatorial appointee?
                </td>
            </tr>
            <tr>
                <td valign="top">
                    <asp:RadioButton ID="radControversyYes" runat="server" Text="Yes" GroupName="Controversy" />
                    <asp:RadioButton ID="radControversyNo" runat="server" Text="No" GroupName="Controversy" />
                </td>
                <td>
                    If yes, please provide a detailed explanation:<br />
                    <asp:TextBox ID="txtControversy" runat="server" Wrap="true" Width="620" Height="48"
                        TextMode="MultiLine"></asp:TextBox>
                </td>
            </tr>
            <tr>
                <td colspan="2">
                    <span style="font-weight: bold">Affiliations: </span>Please list each 
                    organization, club, association, or group that you are, or have been a member 
                    of, in the past five years.
                </td>
            </tr>
            <tr>
                <td>
                </td>
                <td>
                    <asp:TextBox ID="txtAffiliations" runat="server" Wrap="true" Width="620" Height="48"
                        TextMode="MultiLine"></asp:TextBox>
                </td>
            </tr>
            <tr>
                <td colspan="2">
                    <span style="font-weight: bold">&quot;Citizen Member&quot; Seats: </span>FOR HOLDERS OF 
                    &quot;CITIZEN MEMBER&quot; SEATS ONLY: According to the Virginia Code, section 2.2-2102, a 
                    &quot;citizen member&quot; must be a person who: (i) is not by training or experience a 
                    practioner in the subjet area of concern to the board or commission, (ii) is not 
                    the spouse, parent, child or sibling of such a practioner, and (iii) has no 
                    direct or indirect financial interest, except as a consumer, in the subject area 
                    of concern to the board or commission. Do you, in any manner, fail to comply (or 
                    have questions or concerns about whether you do comply) with the Code for your 
                    appointment as a citizen member?
                </td>
            </tr>
            <tr>
                <td valign="top">
                    <asp:RadioButton ID="radCitzenMemberYes" runat="server" Text="Yes" GroupName="CitzenMember" />
                    <asp:RadioButton ID="radCitzenMemberNo" runat="server" Text="No" GroupName="CitzenMember" />
                </td>
                <td>
                    If yes, please provide a detailed explanation:<br />
                    <asp:TextBox ID="txtCitzenMember" runat="server" Wrap="true" Width="620" Height="48"
                        TextMode="MultiLine"></asp:TextBox>
                </td>
            </tr>
            <tr>
                <td colspan="2">
                    <hr />
                </td>
            </tr>
            <tr>
                <td colspan="2">
                    <h3>
                        Demographics</h3>
                </td>
            </tr>
            <tr>
                <td colspan="2">
                    The following optional information is requested in order to ensure that this 
                    administration considers the talent and creativity of a diverse pool of 
                    candidates. In addition, specific backgrounds or qualifications are legally 
                    required for appointment to some boards and commissions. You may, therefore, 
                    wish to provide this information in order to ensure that you are considered for 
                    relevant boards and commissions.
                </td>
            </tr>
            <tr>
                <td>
                    Date of Birth
                </td>
                <td>
                    <asp:TextBox ID="txtDOB" runat="server"></asp:TextBox>
                    <asp:CompareValidator id="valDOB" runat="server" 
                        Type="Date" Operator="DataTypeCheck" ControlToValidate="txtDOB" 
                        ErrorMessage="Please enter a valid date of birth." CssClass="ErrorMsg" 
                        ForeColor=""></asp:CompareValidator>
                 </td>
            </tr>
            <tr>
                <td>
                    US Citizen?
                </td>
                <td>
                    <asp:RadioButton ID="radUSCitizenYes" runat="server" Text="Yes" GroupName="USCitizen" />
                    <asp:RadioButton ID="radUSCitizenNo" runat="server" Text="No" GroupName="USCitizen" />
                </td>
            </tr>
            <tr>
                <td>
                    Gender
                </td>
                <td>
                    <asp:RadioButton ID="radGenderMale" runat="server" Text="Male" GroupName="Gender" />
                    <asp:RadioButton ID="radGenderFemale" runat="server" Text="Female" GroupName="Gender" />
                </td>
            </tr>
            <tr>
                <td>
                    Person&nbsp;with&nbsp;a&nbsp;disabilty (specify)
                </td>
                <td>
                    <asp:TextBox ID="txtDisability" runat="server"></asp:TextBox>
                </td>
            </tr>
            <tr>
                <td>
                    Ethnic Group
                </td>
                <td>
                    <asp:DropDownList ID="ddlEthnicGroup" runat="server"></asp:DropDownList>
                </td>
            </tr>
            <tr>
                <td>
                    Country of Birth
                </td>
                <td>
                    <asp:TextBox ID="txtBirthCountry" runat="server"></asp:TextBox>
                </td>
            </tr>
            <tr>
                <td colspan="2">
                    <hr />
                </td>
            </tr>
            <tr><td></td><td class="ErrorMsg">Please review your information thoroughly before clicking submit.</td></tr>
            <tr>
                <td>
                </td>
                <td>
                    <asp:Button ID="btnSubmit" runat="server" Text="Submit" OnClick="btnSubmit_Click" OnClientClick="SelectAll(lstSelectedBoards);" />
                    
                </td>
            </tr>
        </table>
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